Prescription drug · UNAPPROVED DRUG OTHER
Trimo San NDC 59365-5030
oxyquinoline sulfate and sodium lauryl sulfate · Oxyquinoline sulfate .25 mg/g; Sodium lauryl sulfate .1 mg/g · Jelly · Vaginal · CooperSurgical, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 59365-5030-0 | 59365503000 | 113.4 g in 1 TUBE (59365-5030-0)Marketed from Apr 1, 1977 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules
Product information
- Brand name (proprietary)
- Trimo San
- Generic name (nonproprietary)
- oxyquinoline sulfate and sodium lauryl sulfate
- Active ingredients
- Oxyquinoline sulfate — .25 mg/gSodium lauryl sulfate — .1 mg/g
- Dosage form
- Jelly
- Route
- Vaginal
- Labeler
- CooperSurgical, Inc.
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Marketing end
- Identifiers
- Product ID 59365-5030_545cdcec-f36b-451d-92be-8a4b21e70719SPL ID 545cdcec-f36b-451d-92be-8a4b21e70719SPL set ID 1e4a1caa-e6ba-44ef-8347-07e6385a7c9eRxCUI 999638, 999640UNII 61VUG75Y3P, 368GB5141J
Billing references
What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.
- HCPCS codeNo match
No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.
- NDC on a medical claim
N459365503000followed by a unit qualifier and the quantityPackage 59365-5030-00. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier
Product label
Current FDA label (SPL), effective .